CLIA lab
CLIA 05D2165534: Coastal Family Dermatology, PC
San Luis Obispo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2165534 belongs to Coastal Family Dermatology, PC in San Luis Obispo, CA.
Certificate of Compliance, effective March 7, 2024, expires October 31, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- March 7, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2165534
- Lab name
- Coastal Family Dermatology, PC
- Address
- 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401
- Phone
- (805) 544-5567
- Fax
- (805) 544-3265
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 2,100
- Other nonwaived tests
- 2,100
- Total
- 4,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adventist Health Sierra VistaCertificate of Accreditation, Hospital05D0921025
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2277362
- Aerovista Health CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic05D2099678
Related
Questions
What is the CLIA number for Coastal Family Dermatology, PC in San Luis Obispo?
05D2165534, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Family Dermatology, PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2165534 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect March 7, 2024.